![]() Postoperative acute pain is almost ubiquitous in some settings, especially in patients undergoing extensive spine surgery. Lumbar fusion surgery for degenerative conditions is steadily increasing over time, yet there is no consensus regarding the optimal postoperative analgesic regimen. Īs the population ages, lumbar degenerative disease is a common and debilitating ailment, causing pain and disability in patients. ![]() Trial RegistrationĬhinese Clinical Trial Registry, ChiCTR1900027186. We found that preoperative bilateral erector spinae plane blocks provided superior early quality of recovery, postoperative analgesia, and patient satisfaction scores in patients undergoing posterior lumbar interbody fusion. There were no block-related adverse events. Compared with the control group, preoperative bilateral erector spinae plane blocks reduced the area under the curve of the numeric rating scale pain scores over 48 h, prolonged the time to first rescue analgesia, lessened postoperative 24 h morphine consumption, decreased the occurrence of postoperative nausea and vomiting, and improved patient satisfaction with postoperative analgesia. The global postoperative 24-h quality of recovery-15 score was 117 in the erector spinae plane block group and 108 in the control group, with a median difference of 9 (95% confidence interval 7–12, P < 0.001). The primary outcome was the quality of recovery 24 h postoperatively, assessed using the 15-item quality of recovery questionnaire. Patients were randomly administered either ultrasound-guided bilateral erector spinae plane blocks using 20 ml of 0.375% ropivacaine on each side (ESPB group, n = 42) or no block (control group, n = 42) after anesthesia induction. MethodsĮighty-four patients scheduled for elective posterior lumbar interbody fusion were enrolled. This randomized controlled trial tested the hypothesis that preoperative bilateral erector spinae plane block improves the quality of recovery in patients undergoing posterior lumbar interbody fusion. ![]() Erector spinae plane block, a novel ultrasound-guided fascial plane block, has become popular for perioperative pain management.
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